Actually, it really depends on which auto-inflating PFD you have. Some are designed to flip you back over, some are not. The Mustang LIFT series are probably going to do a better job of getting your head out of the water than one with less buoyancy. Some of the better inflatable PFDs, like the Spinlock Deckware Pro Harness with integrated PFD have thigh straps as standard gear.
Finally, a small chance of an auto-inflating PFD flipping you over is far better than no chance that would be the case if you hit the water with a purely manual inflation PFD and are injured or unconscious.
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You know what the first rule of sailing is? ...Love. You can learn all the math in the 'verse, but you take
a boat to the sea you don't love, she'll shake you off just as sure as the turning of the worlds. Love keeps
her going when she oughta fall down, tells you she's hurting 'fore she keens. Makes her a home.
—Cpt. Mal Reynolds, Serenity (edited)
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Still—DON'T READ THAT POST AGAIN.